Department of Education

Region III
Division of Pampanga
LUBAO WEST DISTRICT
STA. CRUZ ELEMENTARY SCHOOL
#59 DIEGO SILANG ST. STA. CRUZ LUBAO, PAMPANGA

NAME: TEODORO EDEN JOYCE QUIBOLOY

Family First Name Middle Name ( if married woman, give also maiden name)

DATE OF BIRTH: AUGUST 16,1983 PLACE OF BIRTH: LUBAO,PAMPANGA

This is to cerifty that the employee herein above actually rendered service in this office as shown by the service record line of
which supported by appointment and the other papers acctually issued by this office and approved by the authorities concerned.

SALARY PER
FROM TO DESIGNATION STATUS STATION BRANCH
ANNUM

3/6/09 6/30/09 T-I Perm. 144,312.00 LUBAO WEST NAT(M)

7/1/09 6/23/10 " " 170,376.00 " "

6/24/10 5/31/11 " " 187,788.00 " "

6/1/11 5/31/12 " " 205,188.00 " "

6/1/12 3/3/13 " 222,588.00 " "

3/4/13 5/31/14 T - II 239,280.00 " "

6/1/14 PRESENT " " 239,280.00 " "

PURPOSE: FOR GENERAL PURPOSES

Prepared by: Certified Correct:

EVELYN D. PANTIG JELEN P. GALAN

DISTRICT ICT COORDINATOR PRINCIPAL III
rtment of Education
Region III
sion of Pampanga
AO WEST DISTRICT
Z ELEMENTARY SCHOOL
ST. STA. CRUZ LUBAO, PAMPANGA

LUBAO,PAMPANGA

LEAVE OF
ABSENCE W/O
PAY

NONE

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JELEN P. GALAN
PRINCIPAL III